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Louisiana rates for HCPCS J1729

Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.37 / $16.37 / $22.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.37 / $16.37 / $16.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.65 / $13.67 / $16.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $13.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $13.91 / $13.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $13.64 / $18.36